Kyseem'S Unity Group Home, LLC
Organization Active NPI Community/Behavioral Health Agency · Pinetops, NC
NPI 1538488192 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1538488192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHL033076 (NC)
- Legal business name
- KYSEEM'S UNITY GROUP HOME, LLC
- Practice address
- 408 East Tarboro Street
Pinetops, NC 27864-2786 - Phone
- (252) 902-7078
- Fax
- (252) 756-8586
- NPI assigned
- May 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Dearl Ray Powell
- Title
- Executive Director
- Phone
- (252) 902-7078
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL033076 | NC | Yes |
Addresses
Primary practice location
408 East Tarboro Street
Pinetops, NC 27864-2786
Mailing address
PO Box 129
Pinetops, NC 27864-0129
Phone (252) 902-6277
Other practice location 1
1510 Gold St N
Wilson, NC 27893-2340
Phone (252) 756-8586
Other practice location 2
404 Deans Street Wilson NC 27893
Wilson, NC 27893
Phone (252) 902-7078
Other practice location 3
304 Clyde Ave N
Wilson, NC 27893-2324
Phone (252) 756-8586
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- HPG of Tennessee, Inc.
- Pinetops Pharmacy, Inc.
- Lindsey Poythress
- S and J Drug Company, LLC
- Howard Brady Saunders
- Service Drug Store of Pinetops Inc
All providers in Pinetops, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.